There was something else which made James begin to wonder whether this was really something that he wanted. As he and others in his circle were well aware, anyone who takes hormones for a period of years will eventually notice effects which are irreversible. These happen after around two years of anti-androgen treatment. And as James approached his second year on anti-androgens he began to feel nervous. The NHS had no emergency appointments for him to consult with a doctor because they were so overwhelmed with people coming to them to consult on gender reassignment.
